Example Invoice for Clear Diesel.pdf

PDF 134 KB Posted

Attached to
RFP - GASOLINE AND DIESEL FUEL DELIVERY SERVICE
Solicitation number
RFP-171-250000001001-3
Issued by
Eaton County, Lansing City, Michigan

About this file

This document is an invoice from Crystal Flash Inc. to the State of Michigan Vehicle and Transportation Services (VTS) for a diesel fuel purchase. The invoice, dated 03/05/25, details the procurement of 7,500 units of Premium Diesel On Road Clear fuel, with additional charges for MUSTFA and Federal LUST fees. The total invoice amount is $17,773.30, with a due date of 03/15/25, and includes shipping to Crystal Flash Central at 6951 Crowner Dr in Lansing, MI.

The pricing breakdown shows a unit price of $2.358773 for the premium diesel, with additional per-unit fees of $0.010000 for MUSTFA and $0.001000 for Federal LUST, resulting in extended prices of $17,690.80, $75.00, and $7.50 respectively. The invoice includes a bill of lading number 621414 and purchase order number 23*1815. Crystal Flash notes they are 100% employee-owned and supports over 125 local charities, with focus areas including agriculture, veterans assistance, and cancer research.

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Text version

Ship Date

Ship ToShip Via/CommentBill of Lading #

Purchase Order #

Invoice DateInvoice #

Please detach and return above portion with your payment.

INVOICE

INVOICE

Make checks payable to Crystal Flash.

Due Date

TOTAL DUE:

Check # Amount Enclosed

Invoice #

Due Date

TOTAL DUE:

Account #

Make checks payable to Crystal Flash. Include account number on your check.

PAY YOUR BILL ONLINE

Sign up for paperless billing & 24/7 account access.

Include account number on your check. If mailing, please allow 5 business days to reach our o�ice. Manage your account, order fuel, make ePayments and more using our online customer portal, my.crystalflash.com. Questions about this invoice? Call 800.875.4851. We appreciate your business.

PRODUCT DESCRIPTION UNIT PRICE QUANTITY EXTENDED PRICE

PO Box 1804 • Grand Rapids, MI 49501-1804

STATE OF MICHIGAN VTS

PO BOX 30026

LANSING, MI 48933-2014

$17,773.30

$17,773.30

136981 312463

136981 03/05/25 03/05/25

03/15/25

03/15/25

621414

23*1815

CRYSTAL FLASH CENTRAL STATE OF MICHIGAN VT

6951 CROWNER DR

LANSING, MI 4891300

TATTTTDATDDDFFDTDATDADTATAFAFDFAFDTAFDFDAAFFDDDTTATFDDFDFDFAAFTDD

Crystal Flash Inc.

PO Box 1804 Grand Rapids, MI 49501-1804

PO Box 1804 • Grand Rapids, MI 49501-1804

#F#S#T# 312463 136981 71 03/05/25 $17,773.30

%TX%C999 0001359936 S

23 Premium Dsl On Rd Clear 2.358773 7500.000 $17,690.80

MUSTFA 0.010000 7500.000 $75.00

FED LUST 0.001000 7500.000 $7.50

0 0 0 0 0 0

DPSYS_NEWPAGE 312463 03/05/2025 00:00:00 STATE OF MICHIGAN VTS PO BOX 30026 LANSING MI 48933-2014 71 36

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